Provider Demographics
NPI:1801067202
Name:UNIVERSITY HEALTH SYSTEM, INC
Entity type:Organization
Organization Name:UNIVERSITY HEALTH SYSTEM, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:MARQUART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-305-9886
Mailing Address - Street 1:109 INDEPENDENCE LN
Mailing Address - Street 2:STE 400
Mailing Address - City:LA FOLLETTE
Mailing Address - State:TN
Mailing Address - Zip Code:37766-3033
Mailing Address - Country:US
Mailing Address - Phone:423-562-4149
Mailing Address - Fax:423-566-6929
Practice Address - Street 1:109 INDEPENDENCE LN
Practice Address - Street 2:STE 400
Practice Address - City:LA FOLLETTE
Practice Address - State:TN
Practice Address - Zip Code:37766-3033
Practice Address - Country:US
Practice Address - Phone:423-562-4149
Practice Address - Fax:423-566-6929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty